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MONTEZUMA DRUG COMPANY
NPI 1104881556
Pharmacy - Community/Retail Pharmacy in Montezuma, GA

Active since April 19, 2006
112 S DOOLY ST, MONTEZUMA, GA 31063(478) 472-7561(478) 472-5887 Get Directions Write a Review

NPPES record last updated: April 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Montezuma Drug Company NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONTEZUMA DRUG COMPANY (NPI 1104881556) is a healthcare organization registered as a community/retail pharmacy in Montezuma, Georgia and active in the NPI registry since April 2006. The organization lists Donald Lane, Owner, as its authorized official.

NPPES Registry Identity

NPI1104881556
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameDKL31092 INC
Location Address112 S DOOLY STMontezuma, GA 31063-1604
Mailing AddressPo Box 250Montezuma, GA 31063-0250
Phone(478) 472-7561
Fax(478) 472-5887
Organization SubpartNo
Authorized OfficialDonald LaneOwner · (478) 472-7561
Enumeration DateApril 19, 2006
Last NPPES UpdateApril 21, 2010
✔ NPI 1104881556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in GA · PHRE003393
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
112 S DOOLY ST, Montezuma, GA 31063
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Other Names 1

Doing Business AsMontezuma Drug Company

Other Identifiers 3

Medicare NSC4292930001
Other1112527Ncpdp Provider Identification Number
Medicaid00927649AGA

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOHN D HAMES RPH
Pharmacist
112 S DOOLY ST
MONTEZUMA, GA 31063
Macon County (478) 472-6609
DJK 36 INC
Pharmacy (Community/Retail Pharmacy)
112 S DOOLY ST
MONTEZUMA, GA 31063
Macon County (478) 472-7561
MR. DONALD KEITH LANE RPH
Pharmacist
112 S DOOLY ST
MONTEZUMA, GA 31063
Macon County (478) 472-7561

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dkl31092 Inc's NPI number?

The NPI number for Dkl31092 Inc is 1104881556. It was assigned to this organization in the NPPES registry on April 19, 2006. The provider is doing business as Montezuma Drug Company.

Where is Dkl31092 Inc located?

Dkl31092 Inc is located at 112 S Dooly St, Montezuma, GA 31063. The listed phone number is (478) 472-7561.

What is Dkl31092 Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Dkl31092 Inc was last updated on April 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.